yours is a tough one but it is possible to improve it. This looks a bit like a Stahl deformity to me. You may require some cartilage grafting or other reconstructive work to get the shape you want. This is opposed to other traditional otoplasty maneuvers that essentially just include reshaping the ear with placement of strategic sutures. All that being said, I have to be honest and say it could be difficult to get a really good shape or a perfect result of this but I do think it is possible to get a very nice improvement. This could be done under local anesthesia and the attached video may be helpful to you as this person has a similar situation.
I hope that was helpful
Chase Lay MD
Web reference: http://chaselaymd.com/Otoplasty__Ear_Pinning_.html